Issues Netherlands

Tobacco harms the health, the treasury, and the spirit of the Netherlands. Every year, more than 29900 of its people arekilled by tobacco-caused disease. Still, more than 24000 children (10-14 years old) and 2432000 adults (15+ years old)continue to use tobacco each day. Complacency in the face of the tobacco epidemic insulates the tobacco industry in theNetherlands and ensures that tobacco's death toll will grow every year. Tobacco control advocates must reach out toother communities and resources to strengthen their efforts and create change.

Adult Smoking (15+ Y.O.)

% using tobacco daily: 2015

Male

17%Even though fewer men smoke onaverage in the Netherlands than onaverage in very high-HDI countries,there are still more than 1198400 menwho smoke cigarettes each day,making it an ongoing and dire publichealth threat.

Female

17%More women smoke in theNetherlands than on average in veryhigh-HDI countries.

Children Smoking (10-14 Y.O.)

% using tobacco daily: 2015

Boys

2.45%More boys smoke in the Netherlands thanon average in very high-HDI countries.

Girls

2.64%More girls smoke in the Netherlands thanon average in very high-HDI countries.

Deaths% caused by tobacco: 2016

Male

24.43%More men die in the Netherlands than onaverage in very high-HDI countries.

Female

16.08%More women die in the Netherlands thanon average in very high-HDI countries.

Societal Harms

The economic cost of smoking in the Netherlands amountsto 16933 million euro. This includes direct costs related tohealthcare expenditures and indirect costs related to lostproductivity due to early mortality and morbidity.

Smokeless Tobacco% using tobacco daily: 2013

0.2% Even though fewer people use smokelesstobacco on average in the Netherlands thanon average in very high-HDI countries,28200 people still currently use smokelesstobacco, indicating an ongoing public healthchallenge, including heightened levels of oralcancers.

Industry

The combined revenues of the world's 6 largest tobaccocompanies in 2016 was more than USD 346 Billion, which isequal to 45% of the Gross National Income of theNetherlands. The industry is a powerful force that does notfear the actions of smaller nation-states because of theirextensive resources and global market power. Largereconomies and nations have the opportunity to help thesmaller allies face down this threat.

Growing

n/a

Production

There were 72.59 billion cigarettesproduced in Netherlands in 2016.

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Solutions Netherlands

Current Policy in theNetherlandsProtect from Smoke

All public places completely smoke-free is the bestpractice

Smokefree

HealthCare Facilities Educational Facilities

Universities Government Facilities

Indoor Offices Restaurants

Pubs and Bars Public Transport

All Other Indoor PublicPlaces

Funds for SmokefreeEnforcement

Raise Taxes

WHO BenchmarkMinimum

70%of Retail Priceis Excise Tax

Netherlands

54.46%of Retail Priceis Excise Tax

Offer HelpNational quit line and both NRT and cessation-services cost-covered is the best practice

Quitting Resources National quit line, and both NRT and some cessation services cost-covered

National Quitline Yes

Warn About the Dangers to Tobacco Users on Product PackagingA plain, standardized pack with a large health warning is the best practice

Type of Warning Label Graphic

Percent of Pack Covered 65%

Plain Packaging Yes

Warn About the Dangers to the Whole Population in a Media Campaign

Ran a National Anti-Tobacco Campaign in 2014 or 2016 Yes

Appropriate Characteristics

Part Of A Comprehensive Tobacco Control Program Yes

Pre-Tested With The Target Audience No

Target Audience Research Was Conducted No

Aired On Television And/Or Radio Yes

Utilized Media Planning Yes

Earned Media/Public Relations Were Used To Promote The Campaign Yes

Process Evaluation Was Used To Assess Implementation Yes

Outcome Evaluation Was Used To Assess Effectiveness Yes

Enforce Bans on AdvertisingBan on all forms of direct and indirect advertising is the best practice

Number of DirectAd Bans

5/7possible bans

Number ofIndirect Ad Bans

8/10possible bans

Ad Ban CompliancePercent

High

Direct bans

• National TV and radio• International TV and radio• Local magazines andnewspapers• Billboard and outdooradvertising• Advertising on internet

Indirect bans

• Free distribution in mail or through other means• Promotional discounts• Non-tobacco products identified with tobacco brand names• Brand name of non-tobacco products used for tobacco product• Appearance in TV and/or films: tobacco brands (product placement)• Complete ban on sponsorship• Any form of contribution (financial or other support) to any event, activity orindividual• Ban on the publicity of financial or other sponsorship or support by the tobaccoindustry of events, activities, individuals

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